Fasting
Conditions
Keywords
gastric volume, gastric content, ultrasound, perioperative fasting
Brief summary
Anesthesiologists try to avoid complications with significant peri -operative morbidity and mortality such as bronchoaspiration in patients requiring a surgical procedure under anesthesia. Currently, this is achieved based on experts recommendations from the American Society of Anesthesiologists. However, there are tools like ultrasound that allow assessment of gastric content and volume. This tool allows to individualize each patient and base the decisions objectively. The investigators will assess gastric content and volume by ultrasound in patients who have fasted and require surgery at two University Hospitals.
Interventions
Ultrasound assessment of gastric content and volume
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults ≥ 18 years * perioperative fasting time between 8 and 14 hours * American Society of Anesthesiologists status I, II, III * Scheduled surgery
Exclusion criteria
* Abdominal pathology surgical emergency * Unable to adopt right lateral decubitus position * Altered gastrointestinal tract anatomy excluding hiatal hernia * Body mass index greater than 40 * Patients on enteral nutrition probe or with nasogastric probe * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gastric content | June to December | Ultrasound assessment of gastric content (empty, fluids, or solid) of patients undergoing surgery after complete fasting (more than 8 hours) |
| Gastric volume | June to December | Ultrasound assessment of gastric volume (in milliliters) of patients undergoing surgery after complete fasting (more than 8 hours) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Association of gastric content and volume with special conditions as assessed by Anova or Kruskal as appropriate | June to December | To identify the association between gastric content and volume with conditions such as diabetes, obesity, hiatal hernia, among others. |
| Association with fasting time | June to December | To identify the association between gastric content and volume and preoperative fasting time. |
Countries
Colombia